Individual
MR. COLBY MARSHALL ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
611 HIGHWAY 74 S, SUITE 720, PEACHTREE CITY, GA 30269-3081
(770) 632-6800
(770) 632-6060
Mailing address
611 HIGHWAY 74 S, SUITE 720, PEACHTREE CITY, GA 30269-3081
(770) 632-6800
(770) 632-6060
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
004774
KY
225100000X
Physical Therapist
05008605A
IN
225100000X
Physical Therapist
Primary
PT009829
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000064465
BCBS
IN
05
—
200816690
—
IN
Enumeration date
10/18/2006
Last updated
11/13/2009
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